The data shows that public health insurance coverage in Italy has displayed a consistent decline from 60.28 million persons in 2013 to 58.81 million persons in 2023. Year-on-year variations reveal modest reductions, with a marked acceleration starting from 2020. The last two years observed a sharper decline of 0.35% and 0.37% respectively. The compounded annual growth rate (CAGR) over the last 5 years stands at -0.38%. Projections indicate a continuation of this trend, expecting coverage to reach approximately 57.68 million persons by 2028, with an anticipated 5-year CAGR of -0.31%.

Future trends to watch for include:

Further demographic shifts which might influence insurance coverage.
Policy changes or healthcare reforms impacting public health insurance.
Economic factors that may alter the funding and accessibility of public health insurance.